Business Support Analyst

Blue Cross Blue Shield Association • Full-time • Remote (US) • 1m ago

Position Type:

Permanent

If you’re looking for a fulfilling career that can make a real difference in your life, and the lives of others, you’ve come to the right place.

As a national health solutions partner, we put people first in everything we do — and that begins with our team of 8,000+ professionals who bring a cross-section of diverse life experiences and career expertise to Medavie. By collaborating and innovating together, our employees are creating industry-leading solutions in insurance, primary care and emergency medical services that impact millions of lives in Canada each year.

Our mission is to improve the wellbeing of Canadians so that every life can be lived to the fullest — and it’s reflected in our award-winning culture. We celebrate individuality and value the diverse perspectives and skills our employees contribute. We go beyond providing competitive pay and comprehensive benefits to offer opportunities for personal and professional growth, flexible work options, meaningful experiences, and supportive leadership. Medavie is where employees can be their best selves, feel they belong, and achieve their full potential. Be part of it by applying for a position with us today.

Job Title

Business Support Analyst

Reports To

Department

Medicare Programs

PURPOSE / SUMMARY

Reporting to the Team Leader, and working in a team environment, the Business Support Analyst is responsible for a variety of technical focused work activities associated with Medicare Programs. The successful candidate will work with the leadership team, and the team members, to help ensure exceptional customer service is provided to DHW, and our provider and resident stakeholders

KEY RESPONSIBILITIES

Works with the leadership team and team members to assist in successful completion of proposals and new business implementation within Medicare Programs or related areas - this work will involve coordinating and working with various internal business areas and interacting with clients directly to quantify business requirement.

Support monthly quality assurance checks on claims assessment to ensure payment accuracy and consistency among the team. Quality checks would also include phone and email interactions.

Acquire the ability to function in various roles, such that training can be provided to future new employees. This would include all claim types within the Medicare business area

Review, investigate and respond to escalated complex billing inquiries and program specific data requests.

Support the audit and appeal process for both provider and residents for several programs within the Medicare programs. This includes tracking, coordinating and responding to appeals.

Support audit processes and reports for Medicare Program areas, as per established schedule to ensure work is completed in compliance with policy and procedures

Support payments and bulk load processes associated with various programs and policies, including the verification and processing of these payments, and maintaining up to date procedure documents.

Support Medicare Programs publications, including not limited to the Physicians Billing Manual and Bulletins. This will involve working directly with DHW representatives and coordinating with internal resources to create the required publications (web based) in the appropriate format, with required content and accuracy.

Manage the MSI Website - including content updating. This will involve direct work with DHW representatives to confirm and coordinate updates.

Complete other customer facing, and internal support functions as required to support the business area. Perform other duties as required by the business area.

COMMUNICATION SKILLS

INNOVATION

As a BSA you are open to change, you can independently search for information, resources and support while working with multiple platforms.

WORKING CONDITIONS

Typical office environment
Hybrid/WFH as required to meet business/operational needs

MINIMUM QUALIFICATIONS PREFERRED

Education

Post-secondary diploma or degree or equivalent work experience

Diploma or Degree in Business Administration, Accounting or Finance

Experience

Minimum of three years related business and or work experience.

Knowledge and Skills

Computer Skills: Experience working in a PC setting with multiple software applications (i.e., MS Office Suite: Excel, Word, Power Point ) including experience navigating between application and the internet. Strong keyboarding skills and the ability to enter data with speed and precision, accuracy and attention to detail.

Communication Skills: Highly effective listening skills to ascertain customer’s needs, and determine appropriate action required for solution. Communicates clearly and confidently verbally and in writing to a variety of audiences, especially to explain complex issues to customers and staff. Demonstrates the ability to tailor information and delivery to suit the nature of the material, audience, and situation. Excellent written communication skills.

Execution and Organization: High level of accuracy with attention to details while maintaining the ability to complete assigned tasks and meet deadlines. Ability to set and work through list of priorities in a timely manner

Analytical Thinking: Develop the business knowledge and experience required to solve routine problems. Ask questions to determine the source of the problem. Discuss possible solutions and make suggestions.

Teamwork: Demonstrates a willingness to learn, while working collaboratively to achieve common goals by asking for feedback, sharing information and encouraging others to share information.

Language

English

French would be considered an asset

We believe our employees should reflect the communities we serve and welcome applications from candidates of all backgrounds. To provide the best experience possible, we will support you with accommodations or adjustments at any stage of the recruitment process. Simply inform our Recruitment team of your needs. We are committed to making sure recruitment, retention, advancement, and compensation are fair and accessible while following all relevant human rights and privacy laws. We appreciate everyone who has shown interest in this position. Only those selected for an interview will be contacted.

If you experience any technical issues throughout the application process, please email:

Medavie.Recruitment@medavie.ca

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